Anderson J M, Blue C, Holbrook A, Ng M
Can J Nurs Res. 1993 Summer;25(2):7-22.
Data from a comparative ethnographic study were examined to define factors that influence the management of illness among Euro-Canadian and first-generation Chinese women in the Canadian labour force. Compared with Euro-Canadians, Chinese women had a lower level of education, and more of them held blue collar jobs. Many of them had reservations about disclosing their chronic health problem (diabetes) to coworkers and employers, some fearing job loss if this information was revealed. Life circumstances prevented some of these individuals from properly managing their illness. In many cases they had difficulty gaining access to health facilities, learned little from health professionals, and had few resources to help them understand their condition. These complex issues that add to the burden of living with a chronic illness are not always recognized by health professionals, whose interactions with immigrant women are not structured to reveal the social context of the patient's illness.
一项比较民族志研究的数据被用于确定影响加拿大劳动力队伍中加拿大裔欧洲女性和第一代华裔女性疾病管理的因素。与加拿大裔欧洲女性相比,华裔女性受教育程度较低,且从事蓝领工作的人数更多。她们中的许多人对向同事和雇主透露自己的慢性健康问题(糖尿病)有所保留,一些人担心如果透露这些信息会失去工作。生活环境使其中一些人无法妥善管理自己的疾病。在许多情况下,她们难以获得医疗设施,从医疗专业人员那里学到的知识很少,并且几乎没有资源帮助她们了解自己的病情。这些加重慢性病生活负担的复杂问题并不总是被医疗专业人员所认识,他们与移民女性的互动方式并非旨在揭示患者疾病的社会背景。